Inspection Detail

Inspection: 312572936 - Mosbaugh Properties, Inc. Dba Ebbetts Pass Gas

Inspection Information - Office: Modesto District Office

Inspection Nr: 312572936

Report ID: 0950624

Date Opened: 03/18/2009

Site Address:
Mosbaugh Properties, Inc. Dba Ebbetts Pass Gas
2768 Highway 4
Vallecito, CA 95251

Mailing Address:
992 East Highway 4, Arnold, CA 95223

Union Status: NonUnion

SIC:5984

NAICS: 454312/Liquefied Petroleum Gas (Bottled Gas) Dealers

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 05/01/2009

Emphasis:

Case Closed: 06/10/2009

Related Activity
Type	Activity Nr	Safety	Health
Accident	102564465

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1			2		3
Current Violations	1			2		3
Initial Penalty	$6,075	$0	$0	$560	$0	$6,635
Current Penalty	$6,075	$0	$0	$560	$0	$6,635
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
1.	01001	Other	3203 A04	05/20/2009	05/27/2009	$110	$110	$0	-
2.	01002	Other	3395 E03	05/20/2009	05/27/2009	$450	$450	$0	-
3.	02001	Serious	5603	05/20/2009	05/27/2009	$6,075	$6,075	$0	-

Investigation Summary

Investigation Nr: 202518627

Event: 03/18/2009

Employee Is Burned in Propane Explosion

This is a duplicate of form number 202518635. The employee listed on injury line number 1 is Employee #2 on form number 202518627.

Keywords: BURN, FLAMMABLE LIQUID, FLAMMABLE VAPORS, EXPLOSION, PROPANE, WATER HEATER

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	312572936			Hospitalized injury	Burn/Scald(Heat)	Occupation not reported

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